[Serodiagnosis of Pseudomonas aeruginosa infections in mucoviscidosis: comparative study of Western blotting, ELISA exotoxin A and ELISA phospholipase C]

Pathol Biol (Paris). 1993 Nov;41(9):856-64.
[Article in French]

Abstract

Anti-Pseudomonas aeruginosa antibodies were studied by Western Blot, ELISA-exotoxin A and ELISA-phospholipase C for 91 serums from 31 patients with cystic fibrosis. More, for the two enzyme-linked immunosorbent assays, 44 serums from 44 healthy individuals were studied as controls. The study of these three parameters revealed the followings: with no infection by Pseudomonas aeruginosa all the results were negative, at the beginning of the infection, anti-exotoxin A antibodies appeared in first, followed in some cases by the reactions of Western Blot, anti-phospholipase C antibodies became positive at last and went on a par with the installation of the chronic characteristic of the infection, as soon as the chronicity were indisputable, the three methods revealed elevated serum antibodies amounts. Generally there was a correlation between detected antibodies and Pseudomonas aeruginosa isolation in sputum. Among these three methods, ELISA-exotoxin A appeared to be the most interesting because of its good reproducibility and its early positivity, before the others methods and sometimes before Pseudomonas aeruginosa isolation. It would be a significant argument to establish as soon as possible an antimicrobial therapy.

Publication types

  • Comparative Study

MeSH terms

  • ADP Ribose Transferases*
  • Adolescent
  • Bacterial Toxins*
  • Blotting, Western
  • Child
  • Child, Preschool
  • Cystic Fibrosis / diagnosis*
  • Cystic Fibrosis / immunology
  • Cystic Fibrosis / microbiology
  • Enzyme-Linked Immunosorbent Assay
  • Exotoxins* / immunology
  • Female
  • Humans
  • Infant
  • Male
  • Pseudomonas Infections / diagnosis*
  • Pseudomonas Infections / immunology
  • Pseudomonas Infections / microbiology
  • Pseudomonas aeruginosa / immunology
  • Pseudomonas aeruginosa / isolation & purification*
  • Pseudomonas aeruginosa Exotoxin A
  • Serologic Tests
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / isolation & purification
  • Type C Phospholipases* / immunology
  • Virulence Factors*

Substances

  • Bacterial Toxins
  • Exotoxins
  • Virulence Factors
  • ADP Ribose Transferases
  • Type C Phospholipases